NPI | 1346558434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3807) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 003518) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |